| NPI | 1205026291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16752) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN717) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2024-02-21 |